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The Peds NP provides a practical approach to the application of evidence-based practice in pediatrics using a conversational commentary to help you apply the most current literature to your practice with children. The host is Becky Carson, DNP, APRN, CPNP-PC/AC. She is a dual-certified pediatric nurse practitioner in acute and primary care and faculty member at the Duke University School of Nursing in Durham, North Carolina. Through an approachable review of the literature, you can easily apply knowledge to clinical practice to improve outcomes in pediatric care. Disclaimers & Show Notes: www.thepedsnp.com
Episodes
Tuesday Apr 22, 2025
Tuesday Apr 22, 2025
Welcome to the Choosing Wisely Campaign series! This 6-part series will explore the ABIM Foundation’s Choosing Wisely Campaign, its historical precedent, and its goals. We will discuss how this initiative aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures.
The introduction episode dives into the historic 2010 editorial in the New England Journal of Medicine that inspired over 80 professional societies to write their “Top 5 Lists” of tests and procedures that could be avoided in evidence-based care. To better understand the problem, we then pick apart the survey that provided insight into why we over order and the harm it causes to vulnerable populations.
In the coming episodes, we’ll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics.
Author: Becky Carson, DNP, APRN, CPNP-PC/AC
Instagram: @thepedsnppodcast
Series Learning Objectives:
- Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign.
- Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship.
- Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed.
AACN Essentials:
- 1: 1.1 g, 1.2f
- 2: 2.1 de, 2.2g, 2.5 ij
- 6: 6.1 i
- 7: 7.2 ghk
- 9: 9.1ij, 9.2ij, 9.3ik
NONPF NP Core Competencies:
- 1: NP1.1h, NP 1.2km
- 2: NP2.1jg, NP2.2kn, NP2.5 lo
- 6: NP6.1o
- 7: NP7.2m
- 9: NP9.1mn, NP9.2n, NP9.3p
Modified rMETRIQ Score: 15/15
Learn more about our peer review process at www.thepedsnp.com/peerreview
References:
ABIM Foundation. (2019). Communicating about overuse with vulnerable populations. Retrieved from https://www.choosingwisely.org/files/Communicating-About-Overuse-to-Vulnerable-Population_Final2.pdf
Brody, H. (2010). Medicine's ethical responsibility for health care reform--the Top Five list. The New England journal of medicine, 362(4), 283–285. https://doi.org/10.1056/NEJMp0911423
Lipitz-Snyderman, A., & Bach, P. B. (2013). Overuse of health care services: when less is more … more or less. JAMA internal medicine, 173(14), 1277–1278. https://doi.org/10.1001/jamainternmed.2013.6181
PerryUndem Research/Communication. (2014). Unnecessary tests and procedures in the health care system. Retrieved from https://www.choosingwisely.org/files/Final-Choosing-Wisely-Survey-Report.pdf
Smith-Bindman, R., Chu, P. W., Azman Firdaus, H., Stewart, C., Malekhedayat, M., Alber, S., Bolch, W. E., Mahendra, M., Berrington de González, A., & Miglioretti, D. L. (2025). Projected Lifetime Cancer Risks From Current Computed Tomography Imaging. JAMA internal medicine, e250505. Advance online publication. https://doi.org/10.1001/jamainternmed.2025.0505
Wyman, O. (2019). Right Place, Right Time: Health Information & Vulnerable Populations. https://www.oliverwyman.com/RightPlaceRightTime.html
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